Sparkman, Timothy
Sparkman, Timothy was paid $626K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoSPARKMAN, TIMOTHY
SOMERSET, KY 42501
SOMERSET, KY 42501
33aNPI1134409790assigned 08/26/2011
33bProvider typeOptometrist
28Total paid$626K
24GClaims14,373
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#64 of 683
Median peer was paid$123K
This provider vs. median5.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,968 | $99K | |
| 2019 | 2,837 | $123K | |
| 2020 | 3,047 | $123K | |
| 2021 | 3,240 | $135K | |
| 2022 | 1,349 | $55K | |
| 2023 | 1,215 | $48K | |
| 2024incomplete | 717 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 34% | 3,273 | 3,128 | $210K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 30% | 3,194 | 2,991 | $187K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 1,988 | 1,897 | $169K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 855 | 706 | $33K |
| 92015 | Determination of refractive state | 2.2% | 4,484 | 4,253 | $14K |
| 92341 | 1.2% | 137 | 123 | $7K | |
| V2020 | Frames, purchases | <1% | 261 | 168 | $1K |
| 92250 | <1% | 30 | 27 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 38 | 37 | $1K |
| 92083 | <1% | 12 | 12 | $615.93 | |
| 92065 | <1% | 19 | 12 | $537.17 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 19 | 12 | $370.61 |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.